Effect of Mentor Mothers Support on HIV Service Utilization Among Sero-Positive Women in Addis Ababa, Ethiopia, 2022
Keywords:
Engagement, HIV, Mentor mothers, Mothers Support Group, PMTCTAbstract
Background: HIV affects people around the world; especially women of reproductive age group are mostly affected with increased pediatric HIV infection. Strategy like mothers' support group (MSG) is important to achieve elimination of mother to child HIV transmission through empowering HIV positive women. The purpose of this study was to evaluate the effect of mentor mothers’ support on enhancing health service utilization among sero-positive women in selected health centers in Addis Ababa city, Ethiopia. Methods: Quantitative descriptive study design was utilized in seven selected government health centres in Addis Ababa, Ethiopia. On March, 2020 around 352 HIV positive mothers participated in the study that selected through simple random sampling method. Statistical Package for Social Sciences (SPSS) version 24.0 was used to analyse data and frequency tables and Pearson association (95% CI) used to show association between peer support and service utilization; among these women. Result: From 352 HIV positive women 60.8% of them were in the age group between 25 and 29 years. The finding revealed that study participant women utilized available HIV related services. They wanted to be MSG member for educational psychological support (74.4%) and 95.0% of them witnessed their satisfactions with the support provided by mentor mothers’. Almost all of study participants agreed that mentor mothers were trusted for confidentiality and 98.6% of participants stated that mentor mothers responded appropriately questions, or they consult health professional for further explanation. Moreover, 95.2% of study participants mentioned that if they missed their regular education session, mentor mothers call or pay a home visit to know members or their infant’s condition. Conclusion: Peer support group is helpful to provide comprehensive care for PMTCT clients and maintain the intended quality of life.
References
. F. Cataldo, N.A. Sam-Agudu, S. Phiri, B. Shumba, L.J. Cornelius & G. Foster. “The Roles of Expert Mothers Engaged in Prevention of Mother-to-Child Transmission (PMTCT) Programs, A Commentary on the INSPIRE Studies in Malawi, Nigeria, and Zimbabwe.” J Acquir Immune Def Syndr, 75 (2), S224-S32, 2017. PMID, 28498193. Doi:10.1097/QAI.0000000000001375
. P. Mudiope, E. Musingye, C.O. Makumbi, D. Bagenda, J. Homsy, M. Nakitende, M. Mubiru, L.B. Mosha, et al. “Greater involvement of HIV- infected peer-mothers in provision of reproductive health services as “FP champions” increases referrals and uptake of FP among HIV-infected mothers.” BMC Health Services Research, 17, 444, 2017. https://doi.org/10.1186/s12913-017-2386-x
. S.M.Topp, N.B. Carbone, J. Tseka, L. Kamtsendero, G. Banda & M.E. Herce. “How lay health workers respond to barriers to uptake and retention in HIV care among pregnant and breastfeeding mothers in Malawi.” BMJ Glob Health, 5 (6), e002220, 2020. http://orcid.org/0000-0002-3448-7983
. WHO. “Global guidance on criteria and processes for validation, elimination of mother-to- child transmission of HIV and syphilis.” 2nd edition. Geneva, World Health Organization. 2017a. https://apps.who.int/iris/bitstream/10665/259517/9789241513272-eng.pdf
. Y.A.Yitayew, D.M. Bekele, B.W. Demissie & Z.A. Menji. “Mother to child transmission of HIV and associated factors among HIV exposed infants at public health facilities, Dessie Town, Ethiopia.” HIV AIDS [Auckl], 11, 343-50, 2019.
. UNAIDS. “Latest global and regional statistics on the status of the AIDS epidemic. Fact sheet and UNAIDS preliminary epidemiological estimates.” 2021. https://www.unaids.org/en/resources/documents/2021 /UNAIDS_FactSheet
. Central Statistical Agency (CSA) & ICF International. “Ethiopia Demographic and Health Survey, HIV Report.”Addis Ababa, Ethiopia, and Rockville, Maryland, USA, CSA and ICF. 2016.
. A.E. Goga, T.H. Dinh, S. Essajee, W. Chirinda, A. Larsen, M. Mogashoa, et al. “What will it take for the Global Plan priority countries in Sub-Saharan Africa to eliminate mother-to-child transmission of HIV?” BMC Infect Dis, 19, 783, 2019. https://doi.org/10.1186/s12879-019-4393-5
. A.H. Mirkuzie, S. Ali, E. Abate, A. Worku & A. Misganaw. “Progress towards the 2020 fast track HIV/AIDS reduction targets across ages in Ethiopia as compared to neighbouring countries using global burden of diseases 2017 data.” BMC Public Health, 21, 285, 2021. https://doi.org/10.1186/s12889/021/10269y.
. WHO. “Consolidated guideline on sexual and reproductive health and rights of women living with HIV.” Geneva, World Health Organization, 2017b. http://apps.who.int/iris/bitstream/handle/10665/254885/9789241549998-eng.pdf
. F. Abay, H.Y. Yeshita, F.A. Mekonnen & M. Sisay. “Dual contraception method utilisation and associated factors among sexually active women on antiretroviral therapy in Gondar City, northwest, Ethiopia, a cross sectional study.” BMC Women's Health, 20, 26, 2020. https://doi.org/10.1186/s12905-020-0890-3
. M. Ameri, E. Movahed & J. Farokhzadian. “Effect of information, motivation, and behavioral skills model on adherence to medication, diet, and physical activity in HIV/AIDS patients, A health promotion strategy.” J Edu Health Promot, 9, 317, 2020.
. D. Besada, A. Goga, E. Daviaud, S. Rohde, J.R. Chinkonde, S. Villeneuve, et al. “Roles played by community cadres to support retention in PMTCT Option B+ in four African countries, a qualitative rapid appraisal.” BMJ Open, 8 (3), e020754, 2018. http://dx.doi.org/10.1136/bmjopen-2017-020754
. I.J. Birdthistle, J. Fenty, M. Collumbien, C. Warren, J. Kimani, C. Ndwiga, et al. “Integration of HIV and reproductive health services in public sector facilities, analysis of client flow data over time in Kenya.” BMJ Global Health, 3(5), e000867, 2018. PMID: 30245866. PMCID PMC: 6144905. https://doi.org/10.1136/bmjgh-2018-000867
. A.L. DiCarlo, R. Fayorsey, M. Syengo, D. Chege, M. Sirengo, W. Reidy, et al. “Lay health worker experiences administering a multi- level combination intervention to improve PMTCT retention.” BMC Health Serv Res, 18 (1), 17, 2018. https://doi.org/10.1186/s12913-017-2825-8
. J.E. Haberer, L. Sabin, K.R. Amico, C. Orrell, O. Galarraga, A.C. Tsai, et al. “Improving antiretroviral therapy adherence in resource-limited settings at scale, a discussion of interventions and recommendations.” J Int AIDS Soc, 21371, 2017. PMC 5467606. PMID 28630651. https://doi.org/10.7448/IAS.20.01.21371
. E. McCarthy, J. Joseph, G. Foster, A. Mangwiro, V. Mwapasa, B. Oyeledun, et al. “Modeling the Impact of Retention Interventions on Mother- to-Child Transmission of HIV, Results from INSPIRE Studies in Malawi, Nigeria, and Zimbabwe.” J Acquir Immune Defic Syndr, 75 (2), S233-S239, 2017. PMID, 28498194. PMC 5432093. https://doi.org/10.1097/QAI.0000000000001364
. J. McLeish & M. Redshaw. “We have beaten HIV a bit’, a qualitative study of experiences of peer support during pregnancy with an HIV Mentor Mother project in England.” BMJ, 6 (6), e011499, 2016. http://dx.doi.org/10.1136/bmjopen-2016-011499
. C. Milford, L.R. Greener, M. Beksinska, R. Greener, Z. Mabude & J. Smit. “Provider understandings of and attitudes towards integration, Implementing an HIV and sexual and reproductive health service integration model, South Africa.” Afr J AIDS Res, 17(2), 183-192, 2018. PMID 30003849. DOI, 10.2989/16085906.2018.1478314
. N.A. Sam-Agudu, H.O. Ramadhani, C. Isah, S. Erekaha, C. Fan-Osuala, U. Anaba, et al. “The Impact of Structured Mentor Mother Programs on Presentation for Early Infant Diagnosis Testing in Rural North-Central Nigeria, A Prospective Paired Cohort Study.” J Acquir Immune Defic Syndr, 75 (2), S182-S189, 2017. PMID, 28498188. DOI: 10.1097/QAI.0000000000001345
. A. Odiachi, N.A. Sam-Agudu, S. Erekaha, C. Isah, H.O. Ramadhani, H.E. Swomen, M. Charurat & L.J. Cornelius. A mixed-methods assessment of disclosure of HIV status among expert mothers living with HIV in rural Nigeria. PloS ONE, 15(4), e0232423, 2020. https://doi.org/10.1371/journal.pone.0232423
. G. Rutaremwa & A. Kabagenyi. “Utilisation of integrated HIV and sexual and reproductive health services among women in Uganda.” BMC Health Serv Res, 16, 494, 2016. PMCID, PMC:5029044. https://dx.doi.org/10.1186/s12913-016-1761-3
. EPHI. “Ethiopia Population-based HIV Impact Assessment (EPHIA) 2017-2018, Final Report.” Addis Ababa, Ethiopian Public Health Institute (EPHI), 2020. http,//www.ephi.gov.et
. H. Kim & M. Lee. “Factors associated with health services utilisation between the years 2010 and 2012 in Korea, using Andersen’s Behavioral model.” Osong Public Health Res Perspect, 7(1), 18-25, 2016. pISSN 2210-9099 eISSN 2233-6052.
. M.A. Albugmi. “The effects of the predisposing, enabling and need factors on the use of health services among noncitizen employees in the private sector in Saudi Arabia.” PhD thesis, Kent State University, USA.ETD repository. 2021. https://etd.ohiolink.edu/apexprod/rws_etd/send_file/kent1627595522119298disposition=inline
. R.M. Hoffman, K. Phiri, J. Parent, D. Elashoff, P. Kawale, S.Yeatman, J.S. Currier & A. Schooley. “Factors associated with retention in Option B+ in Malawi, a case control study.” J Int AIDS Soc, 20 (1), e21464, 2017. PMCID, PMC: 5515033. PMID, 28453243. https://doi.org/10.7448/IAS.20.01.21464
. T.M. Berhe, L. Lemma, A. Alemayehu, D. Ajema, M. Glagn, & S. Dessu. “HIV-Positive Status Disclosure and Associated Factors among HIV-Positive Adult Patients Attending Art Clinics at Public Health Facilities of Butajira Town, Southern Ethiopia.” AIDS Research and Treatment, Article ID 7165423, 2020. https,//doi.org/10.1155/2020/7165423
. O.V. Adeniyi, A.I. Ajayi, D. Ter Goon, E.O. Owolabi, A. Eboh & J. Lambert. “Factors affecting adherence to antiretroviral therapy among pregnant women in the Eastern Cape, South Africa.” BMC Infect Dis, 18, 175, 2018. https://doi.org/10.1186/s12879-018-3087-8
. FMOH. “National guidelines for comprehensive HIV prevention, care and treatment. Federal Ministry of Health, Addis Ababa Ethiopia.” 2017. https,//www.differentiatedservicedelivery.org/Portals
. A.R. Hamilton, K.W. le Roux, C.W. Young & B. Södergård. “Mentor Mothers Zithulele, exploring the role of a peer mentorship programme in rural PMTCT care in Zithulele, Eastern Cape, South Africa.” Paediatr Int Child Health, 40 (1), 1-7, 2018. PMID 30102134. https://doi.org/10.1080/20469047.2018.1474697
. A.H. Mirkuzie. “Implementation and outcomes of guideline revisions for the prevention of MTCT in Mother Support Programme, Addis Ababa, Ethiopia.” PLOS ONE, 13(7), e0200687, 2018. https://doi.org/10.1371/journal.pone.0200687
. Mothers2mothers. “M2m report.” 2020. https,//m2m.org/wp- content/uploads/2020/09/20_0828_QR. Final_ExcludesAppendices.pdf.
. T.K. Phillips, L. Myer, K. Clouse, A. Zerbe, C. Orrell & E.J. Abrams. “Linkage to care, mobility and retention of HIV-positive postpartum women in antiretroviral therapy services in South Africa.” Journal of the International AIDS Society, 21(S4), e25114, 2018. PMCID, PMC1071757. https,//doi.org/10.1002/jia2.25114
. N.A. Sam-Agudu, H.O. Ramadhani, C. Isah, U. Anaba, S. Erekaha, C. Fan-Osuala, et al. “The Impact of Structured Mentor Mother Programs on 6-Month Postpartum Retention and Viral Suppression among HIV-Positive Women in Rural Nigeria, A Prospective Paired Cohort Study.” J Acquir Immune Defic Syndr, 75 (2) S173-S181, 2017. Doi: 10.1097/QAI.0000000000001346.
. N.A. Sam-Agudu, A. Odiachi, M.J. Bathnna, N. Chinazom, C.N. Ekwueme, G. Nwanne, et al. “They do not see us as one of them, a qualitative exploration of mentor mothers’ working relationships with healthcare workers in rural North-Central Nigeria.” Hum Resour Health, 16, 47, 2018. https://doi.org/10.1186/s12960-018-0313-9
. K. Schmitz, T.J. Basera, B. Egbujie, P. Mistri, N. Naidoo, W. Mapanga, et al. “Impact of lay health worker programmes on the health outcomes of mother-child pairs of HIV exposed children in Africa, A scoping review.” PloS ONE, 14(1), e0211439, 2019. PMID, 30703152. PMCID, PMC6355001.
. A. Odiachi, M. Al-Mujtaba, T. Nguavese, S. Erekaha, A.J. Afe, E. Adejuyigbe, et al. “Acceptability of mentor mother peer support for women living with HIV in North-Central Nigeria, a qualitative study.” BMC Pregnancy Childbirth, 21 (1), 545, 2021. https://doi.org/10.1186/s12884-021-04002-1
. C.E. Boeke, V. Nabitaka, A. Rowan, K. Guerra, A. Kabbale, B. Asire, et al. “Assessing linkage to and retention in care among HIV patients in Uganda and identifying opportunities for health systems strengthening: a descriptive study.” BMC Infect Dis, 18, 138, 2018. https://doi.org/10.1186/s12879-018-3042-8.
. P. Kåks & M. Målqvist. “Peer support for disadvantaged parents: a narrative review of strategies used in home visiting health interventions in high-income countries.” BMC Health Services Research, 20,682, 2020. https://doi.org/10.1186/s12913-020-05540-8
. M. Besser. “Local mothers nearly eliminate mother-to-child transmission of HIV among women they serve in sub-Saharan Africa.” Royal College of Obstetrician and Gynaecologists, 2017. https://www.rcog.org.uk.
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